Agriculture-Health PoCP in Western Kenya Monitoring system By Hermann Ouedraogo SSP East Central Africa 2 nd meeting, Kampala, December 15 th, 2010

Background Objectives –1. Understand the costs and benefits of linking an integrated OFSP agricultural-nutritional intervention to a health service delivery system serving pregnant women –2. Strengthen IEC materials at both the health facility and community levels to support OFSP production and consumption –3. Improve the evidence base of the health impacts on infants and their mothers and the use of health services by pregnant women

Background Implemented in selected health facilities in Western Kenya Introduction of interventions in three waves –Pilot wave: 12 months –Second wave: 20 months –Third wave: 14 months Integration with APHIA II (health) & Ag. NGO (agriculture) Two models of intervention –Higher intensity –Lower intensity

Background Health Facility level -ANC nurses trained for: -Improved counseling on nutrition -Voucher distribution to pregnant women -Community Health Workers trained for: -Pregnant women clubs established -Home visits to pregnant women Community level -Vine multipliers trained for: -Counseling on OFSP agronomy -Provision of OFSP vines against voucher -Demonstration plots established -Agriculture extension officers trained for: -Technical support to vine multipliers -Home visits to pregnant women

Monitoring system: Objectives To establish the extent to which input deliveries, work schedules, other required activities are proceeding according to plan; To inform on outputs and outcomes

Monitoring system: Actors & Tools

A1. Voucher redemption tracking sheet

A2. Home visit form

A3. Agriculture summary sheet, pg 1

A3. Agriculture summary sheet, pg 2

A4. Monitoring Ag. Ext. Off. form

A5. Observation Ag. advice

A6. Assessment of women’s knowledge

A7. Food frequency monitoring form

Monitoring system: Actors & Tools

H1. Women’s club profile form

H2. Women’s club attendance tracking sheet

H3. CHW monthly summary form, pg 1

H3. CHW monthly summary form, pg 2

H4. ANC delivery tracking sheet, pg 1

H5. PNC & growth monitoring tracking sheet

H6. Observation checklist ANC counseling

H7. Observation checklist Women’s club

AH. Feedback meeting guide

Monitoring system: Procedures Data capture –Routinely (actors on the ground) –During monthly supervision visits (supervisors) Forms collection and centralization –During monthly supervision visits –During monthly feedback meetings –Sent monthly to the data manager Data entry: modules developed under CSPro Archiving: files for hard copies

Monitoring system: Lessons learned Forms filling in –Increased workload, hence need forms as simple as possible –Failure to complete forms mainly because of low level of education, hence, be careful with recruitment Forms collection and centralization –Interest of feedback meetings to collect and correct forms there –Difficulty of forms collection (copies not legible, on-field data entry impossible), hence use of portable scanner Monitoring data management –How to use data from the APHIA II monitoring system? –Forms have been changing

THANKS